Erşahin Y, Ozdamar N, Demirtaş E, Karabiyikoğlu M
Department of Neurosurgery, Ege University Faculty of Medicine, Izmir, Turkey.
Childs Nerv Syst. 1999 Jan;15(1):8-10. doi: 10.1007/s003810050318.
Intracranial meningiomas in children are rare, representing 1-4.2% of central nervous system tumors and 1.5-1.8% of all intracranial meningiomas. Meningiomas arising from the lateral wall of the cavernous sinus account for less than 1% of all intracranial meningiomas. To our knowledge, only one case of a meningioma arising from the cavernous sinus has been reported in childhood. A 6-year-old boy presented with left ophthalmoplegia. A slight drooping of the left eyelid was noted at the age of 1 year. Magnetic resonance imaging (MRI) with contrast administration revealed an enhancing mass lesion located in the left cavernous sinus. The tumor, arising from the lateral wall of the cavernous sinus, was totally removed and the oculomotor nerve was reconstructed with a sural nerve graft. MRI displayed total tumor removal 1 month after the surgery. The pathological diagnosis was of a psammomatous meningioma.
儿童颅内脑膜瘤较为罕见，占中枢神经系统肿瘤的1% - 4.2%，占所有颅内脑膜瘤的1.5% - 1.8%。起源于海绵窦外侧壁的脑膜瘤占所有颅内脑膜瘤的比例不到1%。据我们所知，仅有1例儿童海绵窦脑膜瘤的报道。一名6岁男孩出现左侧眼肌麻痹。1岁时发现左侧眼睑轻度下垂。增强磁共振成像（MRI）显示左侧海绵窦有一强化肿块病变。该肿瘤起源于海绵窦外侧壁，被完整切除，动眼神经用腓肠神经移植重建。术后1个月MRI显示肿瘤完全切除。病理诊断为砂粒型脑膜瘤。
